Spring GI Group Meeting

27 April 2022 14:00 — 15:00 (1 hour)

Agenda

This is what will be discussed in this meeting:

  • CTC Audit
  • PV Timing
  • Bolus Tracking / Weight Based Contrast
  • Cross-Trust Abdo/Pelvis Protocols
  • GI Chest
  • Sub-Groups
  • Oral Contrast

Minutes

Attendance

Damian Tolan, Jonathan McConnell, Debra Punshon, Ollie Hough, Catherine Roberts, Mark White, Raneem Albazaz, Naeem Jagirdar, Saminah Yunis

Actions

  1. To create reporting standard templates for pancreatic cancer staging, anal cancers and rectal cancer, to then use SIG members to sense check [On Hold]
  2. To arrange an ad hoc meeting to agree CT/MRI protocols within the next 6 months [On Hold until protocols prioritised]
  3. To circulate an email in order to form the MRI and CT sub-groups [On Hold until protocols prioritised]
  4. Planning phase of the education programme for cross sectional radiography [new for Damian Tolan/SIG PMs]

Key Discussion Points

CT Audit

  • Requirement for everyone to do CTC audit - potential to record this through YIC to save time.
  • Trusts agreed to use the bowel cancer screening template for symptomatic and cancer patients. - will become minimum standard of service as guidance from the RCR.

PV Timings

  • SIG PMs have been looking at CT abdo/pelvis protocols across Trusts. Variations are between basic things, where we don’t need the variation.
  • All agreed to do weight based protocols when able to, in accordance with RCR guidance
  • All agreed to move PV timings to 70 seconds

Oral Contrast

  • Trusts confirmed that they give contrast to patients on a limited and specific basis, otherwise water is given to patients.
  • It was agreed to form an agreement of which circumstances positive contrast should be used.
  • Starvation before a CT scan would be re-visited.

GI Chest

  • It was agreed that GI chest would be scanned on every patient in any phase, as long as they are scanned.

Sub-Groups

  • The Gastro SIG are going to separate things into groups and prioritise MRI. Sub groups will be put on hold until we have more MR data before making a decision on what to work on first.
  • An education programme for cross sectional radiography was raised, to help radiographers to understand how we make changes and why.
  • The importance of supporting radiographers training and progression was highlighted.
  • SIG members were happy to give talks within the education programme.